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Table 2 Plasma pharmacokinetic parameters of intact oxaliplatin and free platinum in colorectal cancer patients (n=19)

From: Phase I drug-interaction study of effects of calcium and magnesium infusions on oxaliplatin pharmacokinetics and acute neurotoxicity in colorectal cancer patients

   

AUC0-t

Cmax

Cl

Vss

MRT

(μmol/L*h)

(μmol/L)

(L/h)

(L)

(h)

Oxaliplatin dose

 

Study treatment

     

All (n = 19)

Intact oxaliplatin

Placebo

15.6 (3.80)

7.62 (1.92)

33.6 (7.70)

57.2 (15.5)

1.68 (0.10)

Ca/Mg

14.8 (3.69)

7.31 (1.91)

35.3 (9.76)

59.3 (14.9)

1.70 (0.13)

Ratio*

0.95 (0.90-1.01)

0.96 (0.90-1.02)

1.05 (0.99-1.12)

1.06 (0.99-1.13)

1.01 (0.99-1.04)

Free platinum

Placebo

20.2 (4.12)

9.24 (1.52)

25.9 (6.65)

48.4 (11.3)

1.87 (0.10)

Ca/Mg

19.8 (4.18)

9.52 (1.55)

26.8 (6.03)

50.9 (9.95)

1.90 (0.16)

Ratio*

0.98 (0.93-1.03)

1.03 (0.95-1.12)

1.04 (0.97-1.10)

1.05 (0.99-1.12)

1.02 (0.99-1.05)

130 mg/m2 (n = 15)

Intact oxaliplatin

Placebo

16.9 (3.32)

8.28 (1.69)

34.5 (7.98)

57.3 (14.3)

1.66 (0.07)

Ca/Mg

15.8 (3.51)

8.01 (1.63)

36.7 (10.2)

60.7 (17.8)

1.66 (0.07)

Ratio*

0.93 (0.86-1.02)

0.97 (0.90-1.04)

1.06 (0.98-1.15)

1.06 (0.98-1.14)

1.00 (0.98-1.02)

Free platinum

Placebo

21.8 (3.09)

9.83 (1.06)

26.8 (6.57)

49.7 (11.7)

1.85 (0.05)

Ca/Mg

21.3 (4.45)

10.0 (1.31)

27.8 (6.01)

52.2 (9.82)

1.88 (0.16)

Ratio*

0.98 (0.92-1.04)

1.02 (0.94-1.10)

1.04 (0.97-1.12)

1.05 (0.97-1.14)

1.01 (0.98-1.05)

85 mg/m2 (n = 4)

Intact oxaliplatin

Placebo

11.4 (1.10)

5.58 (0.74)

30.7 (6.34)

53.8 (12.5)

1.75 (0.18)

Ca/Mg

11.4 (1.03)

5.19 (0.53)

30.7 (5.81)

57.5 (10.3)

1.88 (0.16)

Ratio*

1.00 (0.82-1.22)

0.93 (0.74-1.17)

1.00 (0.87-1.15)

1.07 (0.88-1.31)

1.07 (0.97-1.18)

Free platinum

Placebo

15.3 (4.12)

7.32 (1.52)

22.9 (6.89)

43.9 (9.17)

1.92 (0.21)

Ca/Mg

15.0 (2.79)

7.91 (1.35)

23.3 (5.17)

46.4 (10.4)

1.99 (0.17)

  

Ratio*

0.98 (0.83-1.16)

1.08 (0.73-1.60)

1.02 (0.86-1.21)

1.06 (0.97-1.15)

1.03 (0.91-1.17)

  1. Data values are the geometric mean (standard deviation). Ratio of the geometric mean values for Ca/Mg versus placebo were all close to unity and their 90% CIs all fell within predefined non-effect boundaries (0.8 to 1.25).
  2. *Ratio of geometric mean (90% CI): with Ca/Mg / with placebo.
  3. Abbreviations: AUC0-t, area under the curve from time 0 (before oxaliplatin dose) to the last concentration (5 hours from the start of the infusion); Cmax, maximum concentration; Cl, clearance; Vss, volume of distribution at steady state; MRT, mean residence time.